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A Communication Training Program to Encourage Speaking-Up Behavior in Surgical Oncology
AORN Journal
|September 30, 2017
Summary
Effective communication training for surgical oncology staff significantly improved patient safety communication. The program addressed factors like hierarchy and fear, enhancing staff
Area of Science:
- Surgical Oncology
- Patient Safety
- Communication Training
Background:
- Effective communication is crucial for patient safety in operating rooms.
- Surgical oncology staff face unique communication challenges impacting safety.
- Previous interventions have not adequately addressed these specific barriers.
Purpose of the Study:
- To develop and test a communication training program for surgical oncology staff.
- To enhance communication regarding patient safety concerns.
- To identify and address barriers to speaking up about safety issues.
Main Methods:
- Phase one involved focus groups with 34 staff to identify barriers to speaking up.
- Barriers were categorized into themes such as hierarchy, rapport, and fear of retaliation.
- Phase two involved a communication training program for 42 participants.
Main Results:
- Participants identified key factors affecting speaking-up behavior, including hierarchy and fear.
- The communication training program received favorable ratings for usefulness and perceived effect.
- A statistically significant improvement in communicating patient safety concerns was reported (t40 = -2.76, P = .009).
Conclusions:
- Communication challenges in surgical oncology are multifaceted, involving interpersonal and institutional factors.
- The developed training program shows potential for improving team communication and patient safety.
- Further implementation of this training may enhance overall patient care in surgical settings.
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